01-103111 City of Federal Way
Community Development Services Electrical Permit #:01 - 103111 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050
Project Name: DUNCAN
Project Address: 3948 SW 336TH Pt Parcel Number: 921151 0470
Project Description: ELE-Replace 200-amp panel and install(1)20-amp circuit for freezer.
Owner Applicant Contractor
Garnett D&Rita M Duncan Jr. LANDER ELECTRIC CO INC LANDER ELECTRIC CO INC
3948 SW 336TH PL 13359 NE 16TH ST 13359 NE 16TH ST
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98023-2969 (800)794-4321
Electrical Fixtures
DescriptionQuantity Description jQuantityj Description " = (Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES February 4,2002,IF NO WORK IS STARTED.
Permit issued on August 8,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: 14.1- /._. / Date: g- r- o ,
// 0-7rh,- 1f �/':alar'
•
:1 (--- RECEIV ' CONSTRUC 1 ION PERMIT APPLICATION
VV FiY A� � APPLICATION NUMBER: 01 - 1 Q 3j / i - EL4
APPLICATION NUMBER:
CITY OF FEDERAL WAY APPLICATION NUMBER: - - -I
BUILDING DEPT. -
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
- I = -.-` 1 PROPERTY INFORMATION
'
SITE ADDRES •. `, ' AP . "I ASSESSOR'S TAX/PARCEL #: 1,141_ 157 - b
Y7o
1
LEGAL DESCRIP IO OF SJBJ CT PFOPER '((iTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
LSI ELECTRICAL ❑ ENGINEERING LI FIRE PREVENTION
EVENTIOONSYSTEM
EPROJe
ECT DCRIPTION (provide detailed description): W/ 2OGmp -) � 1 t A 1 -2G GmpEoier cir_bv
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„,
PROJECT NAME: 14)A-
- - _ _ : ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME I ER Hi) Dunvn DAYTIMEPHONE:
53
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CONTRACTOR: NAME: 1.......anr
V 0PH`�`W� 1111MM��LI AD R (ST ET DRESS; ,STT ZIP) 0.3t,ifl,r} (0,11.575,,,,),_ 1111
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Y /\ 1 v 1 i `/�f�///�)D5 (ENING PHONE: -C OF/�FEDERAAL Y BUSIN S✓�/�'I � "' J`
�1/J '{./) 1�/,v/��I\JJ FAX NUMBER:
CONTRACTOR'S RERATION NUMB�R: 24............
� — — — — ( 1 _
LA r 1 nt5 Ci C] t r — — EDITION DAT
(copy of card required) 1 \YI �// • (-�I{l_/�F I 1� / � ./
APPLICANT: NAME. t.I (h u.a...)n( ir .1 DAYTIME PHONE: -
MAILING A DRESS(STR ET ADDRESS;CITY,STATE,ZIP): `l
EVENING PHONE:
blee_il'i
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT Cl TENANT OTHER(DESCRIBE): W ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ' CONTRACTOR
- . ■ DETAILED BUILDING INFORMATION - --
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: Cl YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: El LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
. _ • ELECTRICAL - -
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$I0.50ca)
(First 1300 1t2-567.00;Each add'n 500 ft'--$21.50) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 10438.-75;Each add'n 2500 ft2-$10.50
_Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders ' Per WAC 296-46-910(5)(h)(i&ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
_Progress inspection per 1/2 hr $33.50
_Swimming pool.hot tub,spa 67.00
_Yard Pole meter loops • 44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 1 44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _ 101-200 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Ovcr 800 amp 225.25 169.00 _401-600 197.00 78.75 (I-S circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 254.50 107.25
(When inspected separately from the services.) _801- 1000 310.75 129.75 Temporary Service
X*vice or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
]� 0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61- 100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 .,. 67.00
_Mast or meter repair 33.50 _401-600 89.75
•
_#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B (B) NUMBER OF UNITS(C) TOTAL(D)
�' " TOTAL COLUMN (D):
Estimated Permit Fee: (12) -r °`r ✓D
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + X .35 = (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
. ■ ENGINEERING -
Estimated Permit Fee:(16)
Bond Amount: (17)
• ■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) (PI ' 5D
Bulletin #100-January 3, 2001
R
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
PR07ECT FLOOR AREAS -
FLOOR EXISTING SQ. FT. _ PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
•
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• - 'FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. (
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. (
INTERCEPTOR(S) SUMP(S)
`DISCLAIMER/SIGNATURE BLOCK - -
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city,including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: 1° v J
/\O\ DATE: eio 1
❑ PROPERTY OWNER CI APPLICANT ' CON CTOR
dbcPrilidn
FOR OFFICE USE ONLY:
❑ NEW Cl ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? El YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
fnMMI INrTY°FVFn OPMFNT SERVICES•33530 FIRST WAY SOUTH•P.O. BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX: 253-661-4129